Am I at Risk of Pregnancy After Close Contact? Here's What You Need to Know - Obstetrics and Gynecology

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Can I get pregnant?


Your menstrual period ended on March 28, and you had sexual intercourse with your boyfriend on April 1.
Although penetration did not occur, his glans touched your vulva after ejaculation.
You thought this would not lead to pregnancy, so you did not take emergency contraception.
Now, on April 6, you are wondering about the likelihood of pregnancy and if there are any methods to prevent it at this stage.
Given that you had intercourse shortly after your period, the chances of pregnancy are relatively low, but not zero.
Sperm can survive in the female reproductive tract for several days, and if you were close to ovulation, there is a possibility of pregnancy.
Since it has been five days since the incident, taking emergency contraception is still an option, but its effectiveness decreases over time.
It is recommended to consult with a healthcare provider as soon as possible to discuss your options.

J, 10~19 year old female. Ask Date: 2017/04/06

Dr. Huang Jianzhong reply Obstetrics and Gynecology


1.
The menstrual period ended on March 28, and intercourse occurred with the boyfriend on April 1 without penetration.
Answer: The likelihood of pregnancy is very low.

2.
After ejaculation, the glans touched the external genitalia.
Answer: Since it only touched the outside, the likelihood of pregnancy is very low.

3.
No emergency contraception was taken, and now it is April 6, five days later.
Is the risk of pregnancy high, and is there still time or any methods to prevent pregnancy? Answer: The likelihood of pregnancy is very low.
Taking emergency contraception on April 6, five days later, would be less effective.

Reply Date: 2017/04/06

More Info


When it comes to the risk of pregnancy after close contact, especially in the context you've described, it's important to understand a few key concepts about how pregnancy can occur.
Firstly, sperm can be present in pre-ejaculate fluid, which is released before ejaculation. This means that even if penetration did not occur, there is still a possibility of sperm being transferred to the vaginal area if the glans (head) of the penis comes into contact with the vulva. In your case, since your boyfriend's glans touched your vulva after he ejaculated, there is a potential risk of sperm entering the vagina, which could lead to pregnancy.

The timing of your menstrual cycle also plays a crucial role in assessing your risk. You mentioned that your period ended on March 28, and you had close contact on April 1. Typically, ovulation occurs about 14 days before the start of your next period, which means you might be approaching your fertile window around this time. If you have a regular cycle, this could increase the likelihood of pregnancy, as sperm can survive in the female reproductive tract for up to five days.

Given that it has been five days since the encounter, if you are concerned about the possibility of pregnancy, there are a few options you can consider:
1. Emergency Contraception: If you are within 72 to 120 hours (3 to 5 days) after the incident, you may still have the option to take emergency contraception (Plan B or similar). These medications are most effective when taken as soon as possible after unprotected intercourse, but they can still be effective up to five days later. It is advisable to consult with a healthcare provider or a pharmacist to discuss the best option for you.

2. Pregnancy Testing: If your next period is late, you can take a home pregnancy test to determine if you are pregnant. Most home pregnancy tests are reliable and can detect pregnancy about a week after a missed period.

3. Consult a Healthcare Provider: If you have further concerns or questions, it would be beneficial to speak with a healthcare provider. They can provide personalized advice based on your health history and current situation.

In summary, while the risk of pregnancy exists due to the close contact described, the likelihood may vary based on several factors, including the timing within your menstrual cycle and the presence of sperm. If you are worried about the possibility of pregnancy, consider taking emergency contraception if you are within the appropriate time frame, and consult with a healthcare professional for further guidance. Remember, understanding your body and reproductive health is essential, and there are resources available to help you navigate these concerns.

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